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Large Temporal Artery Prominence Ligations in a Male Case Example

In the treatment of large, prominent superficial temporal artery (STA) in a male patient for cosmetic reduction, the important issue is that simply tying off one visible point will not reliably eliminate the vessel. It requires a multi-level ligation technique for assured effectiveness. The STA has a collateral-rich network. Its frontal and parietal branches communicate Read More…

The High Cheekbone Look in a Female Case Example

The “high cheekbone” look that many women seek is less about having large cheekbones and more about the relationship between the cheekbone, the under-eye area, and the lower face. Models and actresses with striking cheekbones typically have a combination of skeletal anatomy, soft tissue distribution, and low facial fat that creates light-shadow definition. The desired Read More…

Right Custom Temporal Implant for Skull Asymmetry Case Example

Custom temporal widening skull implants are patient-specific implants designed to increase the width of the sides of the head and create a broader cranial shape. They can be used to create overall head widening (bitemporal implants) or can be okayed on just one side for asymmetry correction. In either case they are distinct from implants Read More…

Male Custom Square Chin Implant Replacement Case Example

A square chin is one of the defining features of a masculine face. Rather than simply making the chin larger, a broader more angular chin shape creates a stronger, more balanced lower face and enhances overall jawline definition. Most men seeking chin enhancement want to increase chin width, define the lower border, and create more Read More…

Upper and Lower Lip Vestibular Releases with Dermal-Fat Grafting Case Example

Lip vestibular contracture is an uncommon but challenging problem that occurs when scar tissue shortens the distance between the inner lip and the alveolar sulcus, creating a shallow vestibule. Patients often complain of lower lip tightness, restricted lip movement, and an unnatural smile. In young patients if is most commonly the sequaelae of prior intraoral Read More…

Custom Implant for Female Crown of Skull Augmentation Case Example

A custom crown-of-the-skull implant is designed to increase the height and smooth the contour of the upper central skull (vertex) while maintaining a natural feminine head shape. Unlike implants that widen the sides of the head or augment the back of the skull, a crown implant selectively builds the highest point of the skull to Read More…

Transpalpebral Endotine Browlift in a Male Case Example

A transpalpebral Endotine brow lift is a less commonly performed variation of brow elevation in which the brow is lifted through an upper eyelid (blepharoplasty) incision rather than through scalp incisions. The Endotine device is used to secure the elevated brow tissues to the frontal bone. This technique combines an upper blepharoplasty with a direct Read More…

Female Head Widening Implants Case Example and Design Guidlelines

Female head widening implants are designed to increase the bitemporal width (side-to-side dimension) of the skull in women whose heads appear disproportionately narrow. The goal is not to create a masculine appearance, but rather to produce a smoother, more balanced, and naturally oval cranial shape. The most common indications include: Congenitally narrow head shape with Read More…

Custom Female Forehead Implant Case Example with Long Term Followup

Custom forehead implants in women are fundamentally different from those designed for men. The objective is not to create a prominent brow ridge, but rather to create a smooth, gently convex forehead with improved upper facial harmony while preserving feminine skeletal characteristics. The Ideal Female Forehead An aesthetically pleasing female forehead typically has several defining Read More…

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